Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESIA FONGE
Active Sole ProprietorMS. THERESIA FONGE is a Bus healthcare provider located in UNIVERSITY PARK, Illinois. NPI 1003205279 is currently active in the NPPES registry. Verify at CMS.
Bus · UNIVERSITY PARK, IL
Registration Details
- NPI Number
- 1003205279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2015 (11.568355430129 yrs)
- Last Updated
- Jan 12, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
4790 HICKORY CREEK DRAPT 8UNIVERSITY PARK, IL, 604842740Browse IL providers · Browse ZIP 60484
- Phone
- 6309369862
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in UNIVERSITY PARK, IL
| Name | Credential | NPI |
|---|---|---|
| LYDIA FOX | — | 1467167650 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.